| NPI | 1861493934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO MDR9N93) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO MDR9N93) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KS 0425756) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 0425756) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2017-11-17 |